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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | Stacey Grimes | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| ID Number | PROMISe #103103505 · RN538139 · RN538142 · SP013433 | [sources] | |||
| NPI | 1831440122 | [sources] | |||
| Sector | 207R00000X 363LF0000X 207Q00000X 363L00000X | [sources] | |||
| Status | not available | [sources] | |||
| Last change | Last processed | First seen | |||
List of providers excluded from participating in the Delaware Medicaid program.
United States of America · DHSS
For experts: raw data explorer
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